<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">
								<label class="col-sm-3 control-label">付款时间：</label>
								<div class="col-sm-8">
									<!--<input id="payDate" name="payDate" class="form-control" type="text">-->
									<input type="text" class="laydate-icon layer-date form-control" id="payDate" name="payDate" placeholder="请选择付款时间"
										   onclick="laydate({istime: true, format: 'YYYY-MM-DD'})" style="background-color: #fff;" readonly="readonly"/>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">采购合同编号：</label>
								<div class="col-sm-8">
								<!--	<input id="purId" name="purId" class="form-control" type="text">-->
									<select data-placeholder="采购合同编号" name="purId" class="form-control chosen-select-purId" tabindex="2" required>
										<option value="">采购合同编号</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">采购合同总额：</label>
								<div class="col-sm-8">
									<input id="purAmount" name="purAmount" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">已付金额：</label>
								<div class="col-sm-8">
									<input id="paymentPrice" name="paymentPrice" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">申请金额：</label>
								<div class="col-sm-8">
									<input id="appliAmount" name="appliAmount" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">收款方：</label>
								<div class="col-sm-8">
									<input id="payee" name="payee" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">收款账号：</label>
								<div class="col-sm-8">
									<input id="payeeAccount" name="payeeAccount" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">开户行：</label>
								<div class="col-sm-8">
									<input id="bankName" name="bankName" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">付款方<font color="red">*</font>：</label>
								<div class="col-sm-8">
									<select data-placeholder="收款方" id="paymentComid" name="paymentComid" class="form-control chosen-select-paymentComid" tabindex="2" required>
										<option value="">付款方</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">付款方式：</label>
								<div class="col-sm-8">
									<!--<input id="paymentType" name="paymentType" class="form-control" type="text">-->
									<select data-placeholder="付款方式" id="paymentType" name="paymentType" class="form-control chosen-select-paymentType" tabindex="2" required>
										<option value="">付款方式</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">部门领导：</label>
								<div class="col-sm-8">
									<select data-placeholder="部门领导" id="depetLeaderid" name="depetLeaderid"
											class="form-control chosen-select" tabindex="2" required>
										<option value="">部门领导</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">摘要：</label>
								<div class="col-sm-8">
									<textarea id="summary" name="summary" class="form-control"></textarea>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<textarea id="remark" name="remark" class="form-control"></textarea>
								</div>
							</div>
							<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/layui.all.js"></script>
	<script type="text/javascript" src="/js/appjs/fin/payment/add.js"></script>
	<script type="text/javascript" src="/js/plugins/cropper/cropper.min.js"></script>
	<script type="text/javascript" src="/js/plugins/layer/laydate/laydate.js" ></script>
	<script type="text/javascript" src="/js/plugins/distpicker/distpicker.data.min.js"></script>
	<script type="text/javascript" src="/js/plugins/distpicker/distpicker.min.js"></script>

</body>
</html>
